CHANGES IN THE SURGICAL STRATEGIES FOR AC UTE AND COMPLICATED COLONICDIVERTICULITIS

The records of 312 patients with acute colonic diverticulitis were rev iewed. 129 patients required an operation. The operative management is presented and compared to the international literature. One-stage res ection was performed in 79 % of all patients. In 84 % of patients with a localized inflammation a one-stage resection was possible. Fifty-se ven percent of patients with peritonitis due to colonic perforation re quired a multiple stage procedure. In 70 % the prefered surgical proce dure of multiple stage treatment was Hartmann's operation. These thera peutical regimens are current standard. Lethality was 1.6 % for all 12 9 patients and the postoperative morbidity was 22 %.